ArticleHealth literacy research and practice2019
Associations of Acculturation with English- and Spanish-Language Health Literacy Among Bilingual Latino Adults.
Article in Health literacy research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Modifiable predictors of health literacy in working-age adults - a rapid review and meta-analysis.BMC public health · 2022Pooled it
- Health Literacy by Hispanic Ethnicity and its Association with Healthcare Experiences, Self-rated Health, and Quality of Life.Journal of immigrant and minority health · 2026Article
- Numeracy and recall of Alzheimer's disease risk information: Effects of risk format in a Latino community.Patient education and counseling · 2026Article
- Influence of Home Language Use on the Association Between Parent Education and Child Adiposity in Latino Families.Journal of racial and ethnic health disparities · 2025Article
- Sociodemographic disparities in antibiotic-resistant outpatient urine cultures in a Boston hospital, 2015-2020: a cross-sectional analysis.International journal for equity in health · 2024Article
- Social determinants of health literacy among parents and caregivers in the US-Affiliated Pacific.Health promotion international · 2024Article
- When Positive is Negative: Health Literacy Barriers to Patient Access to Clinical Laboratory Test Results.The journal of applied laboratory medicine · 2023Article
- Impact of language preference and health literacy on health information-seeking experiences among a low-income, multilingual cohort.Patient education and counseling · 2022Article
- Acculturation and Health Literacy Among Chinese Speakers in the USA with Limited English Proficiency.Journal of racial and ethnic health disparities · 2022Article
- COVID-19 Communication From Seven Health Care Institutions in North Texas for English- and Spanish-Speaking Cancer Patients: Mixed Method Website Study.JMIR cancer · 2021Article
- Medical Mistrust and Adherence to Care Among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic.Health equity · 2021Article
- The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.Journal of medical Internet research · 2020Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow health literacy (HL) is associated with poor health status and outcomes. Racial/ethnic minorities in the United States disproportionately experience low HL and HL-related health disparities. Among Latinos, acculturation is associated with health outcomes, but little is known about the relationship between acculturation and HL.
objectiveWe examined associations of sociodemographic and acculturation variables with English- and Spanish-language HL among 142 bilingual Latino adults with adequate HL.
methodsHL was assessed in English using the Rapid Estimate of Adult Literacy in Medicine (REALM) and in Spanish with the Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA). Acculturation was assessed using the four subscales of the Multidimensional Acculturation Scale-II. Associations of sociodemographic data and acculturation with HL were examined using linear regression. KEY
resultsHigher education, higher income, higher English proficiency, and lower Latino cultural identification predicted REALM scores (
conclusionsResults revealed a significant association between acculturation and English- and Spanish-language HL among bilingual Latino adults with adequate HL, suggesting that HL should be assessed in the language in which individuals are most proficient. HL assessed in a nonprimary language may be confounded with language proficiency. PLAIN LANGUAGE SUMMARY: The results of this investigation revealed a significant association between acculturation and English- and Spanish-language health literacy among bilingual Latino adults. This suggests that health literacy should be assessed in the language in which individuals are most proficient. Health literacy assessed in a nonprimary language may be influenced by language proficiency.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.